Early cancer detection among rural and urban Californians.
Early cancer detection among rural and urban Californians.
复制标题
加州农村和城市居民的早期癌症检测。
DOI：
10.1186/1471-2458-6-194
复制
发表时间：
2006-07-26
影响因子：
4.5
通讯作者：
Saltzstein, Sidney L.
中科院分区：
文献类型：
--
作者：
Blair, Sarah L.;Sadler, Georgia R.;Bristol, Rebecca;Summers, Courtney;Tahar, Zanera;Saltzstein, Sidney L.
由于癌症检测的阶段通常可以预测未来的死亡率，因此一项关键的癌症控制策略是增加早期发现的癌症比例。本研究比较了农村和城市社区成员的检测阶段，以确定是否存在差异。加州癌症登记处（CCR）是一个基于总人口的癌症登记处，用于检查1988年至2003年乳腺癌、黑色素瘤和结肠癌患者的早期表现比例。比较了农村和城市地区发现这些癌症时的癌症分期。在乳腺癌患者中，与1988年相比，2003年出现早期症状的患者明显增多，但农村和城市居民出现早期症状的患者比例没有差异。对于黑色素瘤患者，这些组之间的早期癌症发病率也没有差异。在1988年结直肠癌中，城市地区的早期结直肠癌患者明显更多（42%比34%，P < 0.02）。然而，随着时间的推移，2003年农村患者被诊断为早期疾病的频率与1988年相同。这一分析表明，农村和城市地区的人在类似的阶段被诊断出患有乳腺癌、黑色素瘤或结肠直肠癌。卫生保健管理人员可以在未来的战略规划中考虑这些信息。
Since the stage of cancer detection generally predicts future mortality rates, a key cancer control strategy is to increase the proportion of cancers found in the early stage. This study compared stage of detection for members of rural and urban communities to determine whether disparities were present. The California Cancer Registry (CCR), a total population based cancer registry, was used to examine the proportion of early stage presentation for patients with breast, melanoma, and colon cancer from 1988 to 2003. Cancer stage at time of detection for these cancers was compared for rural and urban areas. In patients with breast cancer, there were significantly more patients presenting at early stage in 2003 compared to 1988, but no difference in the percentage of patients presenting with early stage disease between rural and urban dwellers. There were no differences in incidence in early stage cancer incidence between these groups for melanoma patients, as well. In colorectal cancer in 1988, significantly more patients presented with early stage disease in the urban areas (42% vs 34%, p < 0.02). However, over time the rural patients were diagnosed with early stage disease with the same frequency in 2003 as 1988. This analysis demonstrates that people in rural and urban areas have their breast, melanoma or colorectal cancers diagnosed at similar stages. Health care administrators may take this information into account in future strategic planning.
登录
查看更多内容
影响因子：
4.9
作者：
Schootman, M;Kinman, E;Farria, D
通讯作者：
Farria, D
影响因子：
4.9
作者：
Carr, WP;Maldonado, G;Mandel, JS
通讯作者：
Mandel, JS
影响因子：
4.9
作者：
Vinnakota S;Lam NS
通讯作者：
Lam NS
影响因子：
5.1
作者：
BRYANT, H;MAH, Z
通讯作者：
MAH, Z
影响因子：
10.3
作者：
Roetzheim, RG;Pal, N;Krischer, JP
通讯作者：
Krischer, JP